Drug - Brand Name (Generic Name) PA Status Class Drug Notes uridine triacetate - PA PA UNCLASSIFIED DRUG PRODUCTS Unithroid # (levothyroxine-Unithroid) M90 THYROID PREPARATIONS "M90, #" ublituximab-xiiy - PA PA MULTIPLE SCLEROSIS AGENTS "ustekinumab 45 mg/0.5 mL prefilled syringe, 90 mg/mL prefilled syringe, 45 mg/0.5 mL vial PD - PA" PA IMMUNOMODULATOR PD ustekinumab 130 mg/26 mL vial MB - PA PA IMMUNOMODULATOR MB upadacitinib - PA PA IMMUNOMODULATOR Udenyca (pegfilgrastim-cbqv) HEMATINIC AGENT Uloric (febuxostat) M90 - PA PA GOUT AGENTS M90 Ultravate (halobetasol lotion) A90 - PA PA GLUCOCORTICOIDS A90 Uceris (budesonide rectal foam) A90 - PA PA GLUCOCORTICOIDS A90 "Uceris (budesonide extended-release tablet) BP, A90" GLUCOCORTICOIDS "BP, A90" Urocit-K # (potassium citrate) A90 ELECTROLYTES AND NUTRIENTS "A90, #" ulipristal acetate CONTRACEPTIVES Uptravi (selexipag) - PA PA CARDIOVASCULAR ubrogepant PD - PA PA CALCITONIN GENE-RELATED PEPTIDE INHIBITOR PD Ubrelvy (ubrogepant) PD - PA PA CALCITONIN GENE-RELATED PEPTIDE INHIBITOR PD umeclidinium / vilanterol BRONCHODILATORS umeclidinium BRONCHODILATORS Uplizna (inebilizumab-cdon) MB - PA PA BIOLOGICAL MB Ultomiris (ravulizumab-cwvz) MB - PA PA BIOLOGICAL MB Urso Forte # (ursodiol 500 mg tablet) A90 BILE THERAPY "A90, #" ursodiol 500 mg tablet A90 BILE THERAPY "A90, #" ursodiol 300 mg capsule A90 BILE THERAPY A90 ursodiol 250 mg tablet A90 BILE THERAPY "A90, #" "ursodiol 200 mg, 400 mg capsule A90 - PA" PA BILE THERAPY A90 Urso # (ursodiol 250 mg tablet) A90 BILE THERAPY "A90, #" "Uzedy (risperidone 50 mg, 75 mg, 100 mg, 125 mg extended-release subcutaneous injection) PD - PA 1 injection/28 days; See Table 24; See Table 71" PA 1 injection/28 days ANTIPSYCHOTIC PD "Uzedy (risperidone 150 mg, 200 mg, 250 mg extended-release subcutaneous injection) PD - PA 1 injection/56 days; See Table 24; See Table 71" PA 1 injection/56 days ANTIPSYCHOTIC PD Unasyn # (ampicillin / sulbactam) ANTIBIOTICS # Ultram # (tramadol 50 mg) - PA 400 mg/day PA 400 mg/day ANALGESICS # Ultracet (tramadol / acetaminophen) - PA PA ANALGESICS